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Bryce Allen Green, DO
Student in an Organized Health Care Education/Training Program in Lakeland, Florida
NPI 1457054934

Bryce Allen Green is a Student in an Organized Health Care Education/Training Program based in Billings, FL. Bryce Allen Green practices in Lakeland, FL and has the professional credentials of DO. The NPI Number for Bryce Allen Green is 1457054934 and holds a License No. (Florida).

The current practice location address for Bryce Allen Green is 1324 Lakeland Hills Blvd, Lakeland, FL and can be reached out via phone at 863-687-1100.

Location: 1324 Lakeland Hills Blvd, Lakeland, FL, 59105-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457054934
Provider Name
Bryce Allen Green
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1324 Lakeland Hills Blvd, Lakeland, FL, 59105-2615
Phone Number
863-687-1100
Fax Number
Provider Enumeration Date
03/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1324 Lakeland Hills Blvd
City
Lakeland
State
Florida
Zip
33805-4543
Phone Number
863-687-1100
Fax Number
person
Provider Business Mailing Address Details
Address
1324 Lakeland Hills Blvd
City
Lakeland
State
Florida
Zip
33805-4543
Phone Number
863-687-1100
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
(Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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